What Cream is Good for Hip Pain? A Comprehensive Guide

According to the CDC, over 32 million American adults have osteoarthritis, a common cause of hip pain, making topical pain relief a widespread concern. The question of what cream is good for hip pain depends heavily on the root cause of the discomfort, whether it's arthritis, muscle strain, or nerve-related issues.

Quick Summary

An in-depth look at effective topical creams for hip pain, exploring the different active ingredients, their mechanisms, and considerations for choosing the best product for specific types of pain.

Key Points

• Topical NSAIDs: Diclofenac gels, like Voltaren, effectively reduce inflammation and are clinically proven for osteoarthritis pain, but caution is advised for deep joints like the hip.

• Counterirritant Creams: Ingredients such as menthol and capsaicin provide temporary pain relief by creating distracting cooling or warming sensations.

• Lidocaine Creams: Maximum-strength topical lidocaine numbs aggravated nerves to provide fast-acting relief for minor pain.

• Proper Application is Key: Always apply to clean, unbroken skin, wash hands after use, and do not use heating pads or tight bandages over the treated area.

• Consult a Doctor: It is crucial to see a healthcare provider for persistent, severe, or worsening hip pain to determine the underlying cause and ensure safe treatment.

Topical Treatments: A First-Line Option for Hip Pain

For many, dealing with hip pain involves finding a balance between oral medications and localized treatments. Topical pain-relief creams and gels offer a way to target discomfort directly at the site, often with fewer systemic side effects than oral medication. This makes them a popular first-line treatment for various musculoskeletal conditions, from arthritis to simple muscle aches. The best choice, however, depends on understanding the active ingredient and its specific function.

Types of Creams for Hip Pain

Nonsteroidal Anti-Inflammatory Drug (NSAID) Creams

NSAID creams are designed to combat pain by reducing inflammation directly at the source. The active ingredient, diclofenac, works by blocking the enzymes that produce prostaglandins, chemicals that cause inflammation and pain. The most well-known over-the-counter (OTC) version is Voltaren Arthritis Pain Gel.

• How it works: Reduces swelling and relieves arthritis pain in the joints.
• Considerations for hips: While Voltaren is effective for smaller, more superficial joints like the hands and knees, its efficacy for a deep-set joint like the hip can be less predictable. Some sources suggest cautious use for deep-tissue conditions. It is not recommended for strains, sprains, or general muscle pain by some manufacturers. Always use the enclosed dosing card to measure the correct amount and avoid systemic side effects.

Counterirritant Creams

Counterirritants use a mechanism of distraction to relieve minor aches and pains. By creating a warm or cool sensation on the skin, they divert attention from the more severe pain sensation deeper in the muscle or joint.

• Capsaicin: Derived from chili peppers, capsaicin produces a warming or burning sensation. With continued use, it can also deplete a chemical messenger (Substance P) that carries pain signals, providing longer-lasting relief.
• Menthol and Camphor: These agents create a cooling sensation that works immediately to block pain signals. Found in products like Biofreeze and Icy Hot, they are effective for muscle soreness and mild arthritis pain.

Local Anesthetic Creams

Numbing creams utilize a local anesthetic, most commonly lidocaine, to block pain signals at the nerve endings.

• How it works: Lidocaine directly desensitizes nerves in the area it's applied, offering fast, temporary relief.
• Products: Brands like Aspercreme with Lidocaine provide maximum-strength, fragrance-free options. It is particularly useful for nerve-related pain or minor aches.

Herbal and Combination Creams

A variety of creams combine different ingredients to target pain from multiple angles. These include natural ingredients like CBD, arnica, and emu oil, often with added menthol or lidocaine for a targeted effect.

• CBD Creams: Though research is still emerging, some CBD topicals contain anti-inflammatory properties that may help with joint and muscle discomfort. They are frequently combined with other active ingredients like menthol and arnica.
• Arnica and Other Botanicals: Arnica is often included in homeopathic and natural pain creams for its anti-inflammatory properties, though evidence for its effectiveness can vary.

Comparison of Creams for Hip Pain

Cream Type	Active Ingredient	Mechanism	Best For	Considerations
Topical NSAID	Diclofenac Sodium	Reduces inflammation at the source by blocking COX enzymes	Osteoarthritis pain, particularly in smaller, more superficial joints.	Efficacy for deep hip joint can be limited. Potential for systemic side effects if overused or used on broken skin.
Counterirritant (Capsaicin)	Capsaicin	Depletes Substance P, creating a warming sensation that distracts from pain.	Deeper joint pain, arthritis, nerve pain. Requires consistent use for maximum effect.	Can cause an initial burning sensation. Requires cautious application to avoid contact with eyes.
Counterirritant (Menthol)	Menthol, sometimes with Camphor and Methyl Salicylate	Creates a cooling sensation that temporarily blocks pain signals.	Minor muscle soreness, mild joint pain, athletic recovery.	Provides immediate but temporary relief. The scent can be strong. Often combined with other agents.
Local Anesthetic (Lidocaine)	Lidocaine HCl	Numbes aggravated nerve endings to block pain signals.	Minor nerve pain, general minor aches.	Fast-acting, numbing effect. Avoid on broken skin. Potential for serious side effects with overuse.
Herbal/Natural	CBD, Arnica, Emu Oil, etc.	Varies by ingredient, often targeting mild inflammation or providing a soothing effect.	Mild muscle soreness, minor aches where conventional options are undesirable.	Varying degrees of evidence for effectiveness. Check for THC content in CBD products.

How to Apply Topical Creams for Hip Pain

To maximize effectiveness and minimize risks, proper application is key. Here is a general guide, but always read the specific product's instructions.

• Step 1: Clean and Dry: Ensure the area over the hip is clean and dry before applying. Do not apply to damaged, broken, or irritated skin.
• Step 2: Measure and Apply: Apply a thin, even layer of the cream. Use the dosage card provided with products like Voltaren to avoid over-application.
• Step 3: Massage Gently: Rub the cream gently into the skin until it is fully absorbed. This helps the ingredients penetrate to the source of the pain.
• Step 4: Wash Hands: Wash your hands thoroughly with soap and water after application, unless your hands are the treatment area.
• Step 5: Avoid Heat: Do not cover the area with a heating pad or tight bandage, as this can increase absorption and potential side effects. For capsaicin creams, avoid hot showers or intense exercise immediately after application.

Conclusion: Making an Informed Choice

For hip pain, the best cream will address the specific type of pain you are experiencing. Topical NSAIDs containing diclofenac are a robust option for arthritis-related inflammation, but with potential limitations for deep joints. Counterirritants like menthol and capsaicin provide effective but temporary relief by distracting from the pain, while lidocaine-based creams can numb specific areas. Natural and herbal creams offer an alternative for milder symptoms, often leveraging the effects of menthol or arnica alongside other botanicals.

Before selecting a cream, it is wise to consult a healthcare provider to determine the root cause of your hip pain. This will ensure you choose the most appropriate and safest treatment, especially if you have other health conditions or are taking medications. By understanding the options, you can better manage your symptoms and find relief. For more information on managing arthritis and joint pain, visit the Arthritis Foundation website.

Important Precautions and When to See a Doctor

While topical creams are generally safe, it's essential to be aware of precautions and when to seek medical advice. Side effects can include skin irritation, redness, or blistering, which may require stopping use. Severe reactions, including signs of stomach bleeding (if using topical NSAIDs) or an allergic reaction, require immediate medical attention.

When to consult a healthcare provider:

• You have a history of heart disease, stomach ulcers, or kidney problems.
• The pain worsens or persists for more than 7 days.
• You experience new or unexpected symptoms.
• You are pregnant or breastfeeding.

By following these guidelines and consulting a professional, you can safely explore topical options for managing your hip pain effectively.

Key Creams for Hip Pain

• Diclofenac (Voltaren): An OTC NSAID gel that provides targeted relief for arthritis-related inflammation in joints.
• Menthol (Biofreeze, Icy Hot): A counterirritant that provides immediate, cooling relief for sore muscles and minor joint pain.
• Capsaicin (Capzasin, Zostrix): Derived from chili peppers, it creates a warming sensation and can interfere with long-term pain signals.
• Lidocaine (Aspercreme, Tylenol Precise): A local anesthetic that works quickly to numb minor nerve pain and aches.
• CBD with Arnica/Menthol: Alternative options for mild discomfort that may have anti-inflammatory benefits.

How to Choose the Best Cream

• For Arthritis Pain: A diclofenac gel is often recommended to target underlying inflammation.
• For Muscle Strain/Soreness: A menthol-based cream can provide immediate, soothing relief.
• For Nerve Pain: A lidocaine cream can numb the area and block pain signals effectively.
• For Mild Aches: Natural options like CBD or arnica creams are worth trying for gentle relief.

Always consult a healthcare provider for persistent or severe hip pain to ensure an accurate diagnosis and treatment plan.

How to Find a Cream for Hip Pain

• Consult a Pharmacist: Explain your specific symptoms to a pharmacist, who can recommend suitable OTC options based on your needs.
• Test on a Small Area: Before widespread use, especially for capsaicin, test the cream on a small patch of skin to check for irritation.
• Consider Delivery Method: Creams, gels, and roll-ons offer different application experiences and absorption rates. Choose one that best fits your preference.

Frequently Asked Questions

Can I use Voltaren gel for hip pain?

Yes, Voltaren (diclofenac gel) can be used for hip pain, particularly if it is caused by osteoarthritis. However, since the hip is a deep joint, its effectiveness can be less pronounced compared to more superficial joints like the hands or knees. Always follow the manufacturer’s dosing instructions carefully.

Are menthol creams effective for hip pain?

Menthol creams, like Biofreeze, work by creating a cooling sensation that distracts from the pain and provides temporary relief from muscle soreness and minor joint aches. They can be a good option for mild to moderate hip pain, but the effect is not long-lasting.

What is the fastest acting cream for hip pain?

Lidocaine creams, such as Aspercreme with Lidocaine, are often the fastest acting because they directly numb nerve endings to block pain signals within minutes. This can provide quick, temporary relief for minor aches and pains.

Are there side effects with topical pain creams?

Yes, side effects can occur. The most common are skin irritation, redness, or itching at the application site. More serious, though rare, side effects can include allergic reactions or, in the case of NSAIDs, systemic issues. Always test a small patch of skin first.

Can I use a heating pad with pain cream on my hip?

No, you should not use a heating pad, heat lamp, or electric blanket over a treated area. For counterirritants like capsaicin, heat can intensify the burning sensation. For NSAID and lidocaine creams, increased heat can lead to excessive absorption and a higher risk of side effects.

How long should I use a pain cream before seeing a doctor?

You should see a doctor if your hip pain worsens, does not improve after 7 days of continuous use with an over-the-counter cream, or if you experience any new or concerning symptoms. Persistent pain may indicate a more serious underlying condition that requires professional medical diagnosis.

Can I use different types of pain creams together?

No, it is generally recommended to avoid using different types of topical pain creams on the same area simultaneously. This can increase the risk of skin irritation or excessive absorption of active ingredients. For example, do not combine a lidocaine cream with a menthol cream.